Published on Apr 11, 2018 and last reviewed on Aug 17, 2022 - 4 min read
A huge percentage of young men ejaculate within a few seconds or with minimal strokes during sexual intercourse. Read the article to know in detail about premature ejaculation.
The central nervous system will control the process of ejaculation. When a male is sexually excited, the signals will be sent to stimulate the spine and brain. When he is further excited, signals will be passed from the brain to the reproductive organs. This will cause the semen to be ejaculated from the penis during sexual activity. The ejaculation can occur in two phases:
The vasa deferentia are the tubes used to move the sperm from the testicles to the base of the penis via the prostate gland. The process of mixing the sperm with the seminal fluid in the prostate gland to make semen is called the emission.
The ejaculation and orgasm will happen at the same time. When the muscles under the penis get contracted to push the semen out of the penis, it is called expulsion. Usually, the erection goes away after this process. Few men may achieve orgasm even without ejaculation.
This is the most common male sexual problem. It is very stressful for both partners when this happens, and it can even lead to marital disharmony and discord. Fortunately, it can be overcome and even treated.
Premature ejaculation can be classified as:
Primary Premature Ejaculation: It is also called lifelong premature ejaculation. It can occur most of the time, from the first sexual encounters.
Secondary Premature Ejaculation: It can also be called acquired premature ejaculation. It can develop after men have had previous sexual experiences without ejaculatory problems.
The main symptom of premature ejaculation is the inability to delay ejaculation for more than a minute after penetration during sexual intercourse.
The other symptoms of premature ejaculation are:
Being unable to control when to ejaculate.
Rapid climax during masturbation may also be an issue for some people.
Unrealistic expectations about sex.
Psychological problems can cause premature ejaculation. This may include:
Poor body image.
Lack of confidence.
Concern over your sexual performance.
Negative feelings about the idea of sex.
Masturbation in their teenage years.
Worrying about premature ejaculation.
Traumatic experiences like sexual assault or incest.
The following biological factors can also cause premature ejaculation:
Abnormal hormone levels.
Infection in the prostate or urethra.
Abnormal neurotransmitter levels.
Other factors include erectile dysfunction and stress.
You can seek help from a doctor for premature ejaculation:
When PE has occurred many times to cause relationship problems.
When PE makes you feel self-conscious.
When PE keeps you from proceeding with intimate relationships.
Premature ejaculation (rapid climax within seconds) is common. It is natural in people with an overly sensitive penis, but it is distressing and disappointing for the couple. To overcome the problem naturally, one needs to understand how exactly it happens and learn how to stop it. It is somewhat like learning control on urination or on passing stools. This we all have learned in our childhood. Similarly, one can learn control over ejaculation with a few weeks of practice.
To gain ejaculatory control, follow the instructions mentioned:
Learn to indulge in foreplay.
Do not penetrate the vagina quickly. Penetrate slowly in stages.
Once you penetrate, do not start thrusting right away. Wait for a few seconds before you do.
If you feel you are close, inhale deeply or think of something boring to distract yourself.
After this gap of a few seconds, you may resume thrusting again.
Please read it a few times and practice.
For immediate relief, I suggest applying a thin layer of Gesicain 5 % ointment (Lidocaine) or Xylocaine to the head of the penis 10 to 20 minutes before intercourse. Wipe it off (not wash) with a cloth before inserting the penis. This has no side effects. It will reduce the over-sensitivity of the tip of the penis for a few minutes and thus help the male stay longer in vaginal intercourse. Each time you participate in sex, it should be repeated until control is gained through the above natural method.
Alternatively, I suggest taking Dapoxetine tablets such as Duralast 30 mg or tablet Sustinex 30 mg about one to three hours before intercourse. Some people may get mild (tolerable) side effects from this medicine. Consult your specialist doctor, discuss with them and start taking the medication with their consent.
Several ayurvedic preparations claim to increase the intravaginal latency (ability to stay longer in vaginal intercourse). Vitex and X-tone are two such herbal preparations.
The best remedy for premature ejaculation is to concentrate on your partner correctly. This can help you maintain and enjoy a fulfilling emotion with your partner while naturally controlling when you ejaculate.
However, too much focus on your partner can also cause you to lose erection hardness.
Perform pelvic floor exercises.
Pause-start method - stop the stimulation for 30-60 seconds, then start again.
Squeeze technique- when ejaculation approaches, withdraw the penis and squeeze the head until the sensation passes.
If untreated, PE may lead to:
A common complication of premature ejaculation is stress and relationship problems.
Fertility problems can result from PE, making it difficult to get pregnant when one does not ejaculate intravaginally.
Premature ejaculation can be treated successfully by proper medical counseling with a doctor to help lessen its concerns to put your sex life back on track.
The release of semen during orgasm is called ejaculation. The average time for ejaculation for men is 6 minutes. When a man ejaculates sooner than his partner would like (1 to 2 minutes), it is called premature ejaculation.
Even though the exact cause is not known, PE is believed to occur due to a combination of psychological and physical factors. The common causes include:
- Psychological factors - Depression, sexual abuse, anxiety, and worrying about ejaculating early.
- Physical - Erectile dysfunction, abnormal hormone levels, and problems of the sex organs.
Most men ejaculate between 4 and 11 minutes.
If you have had this problem lifelong, then this condition is tricky to treat. But with the right psychological therapy, physical training, and medicines, most cases of premature ejaculation can be reversed.
Garlic contains allicin, which stimulates blood flow to the sexual organs in both men and women. As it is also rich in zinc and magnesium, it helps increase the time it takes for you to reach an orgasm.
You can try these two methods to stop yourself from ejaculating:
- Start-stop method - Here, your partner stimulates your penis until you are close to an orgasm, and stops until the feeling passes.
- Pause-squeeze method - In this method, your penis is stimulated until you are close to an orgasm, and then your partner should firmly squeeze your penis. This will weaken your erection and you can start over.
Some natural and home remedies for premature ejaculation are:
- Ayurvedic medicines.
- Chinese herbal medicines.
- Topical anesthetic creams.
- Anesthetic spray.
- Zinc supplements.
- Start-stop technique.
- Pause-squeeze technique.
- Desensitizing condoms.
- Pelvic floor exercises.
You can treat this condition by doing pelvic floor exercises. This helps strengthen your pelvic floor muscles, which lets you control ejaculation better.
The treatment options for premature ejaculation are:
- Start-stop technique.
- Pause-squeeze technique.
- Pelvic floor exercises.
- Using topical anesthetic spray or gel or condoms.
- Medications (Tadalafil, Sildenafil).
- Sex therapy.
Last reviewed at:
17 Aug 2022 - 4 min read
Article Overview: The common sexual problems in men are premature ejaculation, erectile dysfunction, and low sex drive. These problems are not openly addressed because of social stigma. Read the article to know more about these male sexual problems. Read Article
It is very embarrassing for men to discuss their sexual problems with anyone, even a doctor. But, I would like to tell these men that sexual problems are very commonly seen in men. I have researched extensively on sexual problems in males and females. After spending a year in research, I concluded t... Read Article
I am suffering from premature ejaculation.Please help.
Query: Hello doctor, I am a 25 year old male. I am not yet married. I am suffering from premature ejaculation. Erection occurs within seconds and soon after that I ejaculate. Please help. Read Full »
Most Popular Articles
Do you have a question on Marital Discord & Sexual Problems or Premature Ejaculation?Ask a Doctor Online